Health information technology use among older adults in the United States, 2009–2018

Hung, Li Yu; Lyons, Jennifer G.; Wu, Chung Hsuen

doi:10.1080/03007995.2020.1734782

Cited by 66 publications

(47 citation statements)

References 33 publications

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“…As we found in our study, older people, particularly those who are younger with a high educational level and those who used electric devices in their past job, tend to have higher technology literacy, a greater willingness to adopt health technology to book hospital visits. The findings were consistent with other studies, that revealed that socio-demographic factors influence older people's acceptance and adoption of health technology; for instance, young-older people with a higher education, higher income, wider social network, and good health status were more likely to report health information technology use (13,15), while those who belong to the older age groups, with a low income and low education level, are significantly less likely to use Web-based health care services (16).…”

Section: Difficult Experiences and Complex Feelingssupporting

confidence: 91%

“…In an aging society and internet age, there is an urgent need to explore how they respond to these new changes in public hospitals. Most of the current researches on older people's use of mobile and digital health technology are quantitative in nature (5,(14)(15)(16)(17), which may appear insufficient for understanding older people's perceptions and lived experiences of technology adoption. A qualitative approach would provide a more nuanced understanding of the participants' perspectives, grounded in their specific social contexts (18).…”

Section: Introductionmentioning

confidence: 99%

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The Perceptions and Experiences of Mobile Health Technology by Older People in Guangzhou, China: A Qualitative Study

Shen

Zhong

et al. 2021

Front. Public Health

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The study explores older people's perceptions and experiences with mobile technology adoption in hospitals. Twenty nine older people were interviewed at a tertiary hospital in Guangzhou from June to December 2020. All the interviews were analyzed using thematic analysis. Older people are a diversified group. Various factors impact their readiness for technology use, including their educational level, age, past experiences, living arrangements, etc. The older people in this study in general expressed a great concern about using the new health technology and many encountered barriers to its successful adoption. Yet, the barriers and difficulties that they encountered are embedded in a changed social context in China. The findings above provide insights into the adoption of health technology, and tailored measures to facilitate older people's technology adoption are suggested.

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Section: Difficult Experiences and Complex Feelingssupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

The Perceptions and Experiences of Mobile Health Technology by Older People in Guangzhou, China: A Qualitative Study

Shen

Zhong

et al. 2021

Front. Public Health

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“…Firstly, the stronger intention to continue using health apps among older users who rated their health status as good conflicts with the research results showing that in the case of traditional medical services, the lower the subjective health status, the more health services they use [ 73 ]. However, this is consistent with the results of other studies in the fields of health technology, which show that people with good health showed more positive behavior toward health technology than those with poor health [ 74 , 75 ]. The association between good health status and stronger intention to continue using health apps may be explained by the mobility limitation of people with poor health.…”

Section: Discussionsupporting

confidence: 92%

Determinants of Continuance Intention to Use Health Apps among Users over 60: A Test of Social Cognitive Model

Kim

Han

2021

IJERPH

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Promoting healthy behavior among seniors is important in reducing the burden of care and healthcare expenses in a rapidly aging society. Health apps can play an important role in health promotion for older adults, but the level of user retention in health apps is low. To increase continued health app use among older adults, this study examined the factors influencing older users’ continuance intentions to use health apps. The research model was developed based on the social cognitive theory of health behavior, which integrates cognitive, environmental, and behavioral perspectives. To test the research model, an anonymous online survey was conducted among respondents aged 60 to 79 years who were using health apps. The measurement items in the questionnaire were developed based on validated scales from the literature. A total of 250 samples were analyzed. The assessment of the measurement model indicates that the reliability and validity of the items are satisfactory. The results of testing the structural model illustrate the determinants of health app continuance intention: health technology self-efficacy, self-evaluative outcome expectations, self-regulation, and privacy risk. The interrelationships among determinants are also investigated. Theoretical and practical implications are suggested to encourage older adults’ continued health app use and promote their health behavior over the long term.

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“…By 2018, the prevalence of email PPC had increased to 36% [7]. Among older adults, its prevalence rose from 2.7% in 2009 to 14.2% in 2018 [8]. Regardless of increasing trends, email PPC remains underutilized, and disparities exist based on demographic, socioeconomic, and health-related characteristics [7,[9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Email Patient-Provider Communication and Cancer Screenings Among US Adults: Cross-sectional Study

Kindratt¹,

Allicock²,

Atem³

et al. 2021

JMIR Cancer

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Background The growth of electronic medical records and use of patient portals have allowed for patients and health care providers to communicate via email and direct messaging between health care visits. Email patient-provider communication (PPC) may enhance traditional face-to-face PPC by allowing patients to ask questions, receive clear explanations, engage in shared decision-making, and confirm their understanding between in-person visits. Despite increasing trends in the use of email PPC since the early 2000s, few studies have evaluated associations between email PPC and the uptake of preventive services. Objective The objective of this study was to determine associations between the use of email PPC and the likelihood of undergoing breast, cervical, and colon cancer screenings among adults who have received health care in the past 12 months. Methods Secondary, cross-sectional data from the 2011-2015 National Health Interview Survey were combined and analyzed. For each cancer screening, inclusion criteria were based on the age of screening recommendations and prior history of cancer diagnosis (n=35,912 for breast, n=48,512 for cervical, and n=45,884 for colon). The independent variable was whether adults used email PPC in the past 12 months (yes or no). The dependent variables were whether (1) women (aged ≥40 years) received a mammogram in the past 12 months; (2) women (aged 21-65 years) received a Pap test in the past 12 months; and (3) individuals (aged ≥50 years) received a colon cancer screening in the past 12 months. Bivariate and multivariable logistic regression analyses were conducted. Results Adults who reported receiving all three cancer screenings in the past 12 months were more likely to be non-Hispanic White; be married or living with a partner; have a bachelor’s degree or higher education level; have health insurance coverage; and perceive their health as excellent, very good, or good (all P<.001). Men were more likely to receive colon cancer screenings than women (P<.001). Multivariable logistic regression models showed women who used email to communicate with their health care providers had greater odds of receiving breast (odds ratio [OR] 1.32, 95% CI 1.20-1.44) and cervical (OR 1.11, 95% CI 1.02-1.20) cancer screenings than women who did not use email PPC. Adults who used email to communicate with their health care providers had 1.55 times greater odds (95% CI 1.42-1.69) of receiving a colon cancer screening than those who did not use email PPC. Conclusions Our results demonstrate that email PPC is a marker of increased likelihood of adults completing age-appropriate cancer screenings, particularly breast, cervical, and colon cancer screenings. More research is needed to examine other factors related to the reasons for and quality of email PPC between patients and health care providers and determine avenues for health education and intervention to further explore this association.

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Health information technology use among older adults in the United States, 2009–2018

Cited by 66 publications

References 33 publications

The Perceptions and Experiences of Mobile Health Technology by Older People in Guangzhou, China: A Qualitative Study

The Perceptions and Experiences of Mobile Health Technology by Older People in Guangzhou, China: A Qualitative Study

Determinants of Continuance Intention to Use Health Apps among Users over 60: A Test of Social Cognitive Model

Email Patient-Provider Communication and Cancer Screenings Among US Adults: Cross-sectional Study

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